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Case Study · MedTech × AI

Butterfly
Network

Designing agent-native workflows for Butterfly's pioneering Ultrasound-on-Chip™ platform, reducing time-on-task by 41% while keeping clinicians in control.

butterflynetwork.com /↓ Scroll to read
01 / Efficiency
41%

Reduction in average review time per study, from 57.2s to 33.6s, after the Compass AI rollout.

02 / Reach

Beyond Imaging

Designing workflows that move handheld ultrasound from image capture to AI-powered clinical decision support.

03 / Scale

Mobile to Cloud

Hundreds of refinements optimizing how clinicians use the product every day.

Butterfly Network — mobile experience
01 / The Challenge

Expert time, at scale.

Butterfly helped redefine ultrasound: a handheld, whole-body imaging system built on semiconductor technology rather than traditional cart-based hardware. But as point-of-care ultrasound scaled, a new bottleneck emerged: expert review.

Quality assurance was consuming clinician time already in short supply. The challenge was not simply to make review faster. It was to protect expert attention, keeping clinicians focused on diagnostic judgment rather than repetitive navigation, scoring, and documentation.

02 / The Approach

Augment the expert, don't replace them.

We did not add an AI layer on top of the existing workflow. We redesigned the reviewer experience around Compass AI: a set of agent-assisted tools that prepare, prioritize, and structure the work before the clinician enters the loop.

The clinician stays in control. The system reduces the blank-page problem, surfaces what matters, and turns review from manual assembly into expert validation.

Avg. review time 57.2s → 33.6s -41%

03 / Design Interventions

What We Designed

A Guided, Intelligent InterfaceGuided Interface

A Guided, Intelligent Interface

Structured cues replace blank forms, while Compass Sort and intelligent cine highlighting surface the frames that matter. The system prepares the work and reduces scrubbing through long loops, so clinicians move faster while staying fully in control.

Mobile ExperienceMobile Experience

Mobile Experience

Series of mobile app improvements, each resolving the deep edge cases clinicians hit in everyday use, adding up to a calmer, more predictable experience right on the device.

Documentation that ListensDocumentation

Documentation that Listens

Voice-driven documentation reduces the friction of manual entry. Clinicians can capture feedback naturally, while the agent structures and refines it into usable documentation for review.

Program Performance DashboardPerformance Dashboard

Program Performance Dashboard

A centralized view of imaging volume, compliance, review status, and revenue opportunity, giving teams visibility across the POCUS program, not just individual studies.

Butterfly Network — Fleet Management interfaceFleet Management

Fleet Management

We redesigned device oversight from scattered metadata into an operational workflow. Admins can identify inactive, lost, stolen, or failing devices, inspect scan history, and understand fleet health without leaving the core Cloud experience.

Butterfly Network — many improvements across the platform

A System, Not Screens

Across mobile and Cloud, we improved the everyday workflows that hold the platform together (presets, protocols, favorites, QA, onboarding, and release communication), making complex clinical tooling easier to operate at scale.

The work is under wraps. The impact isn’t.

Much of what we designed for Butterfly is still in development, where exposing the details would reveal the next generation of the product before launch. What we can share is how Butterfly’s product, design, and engineering leaders describe the partnership.

Working with the Mirumee team has felt more like a true partnership than a standard agency engagement. They have integrated well into our design workflows, tackling complex clinical UX projects with ease. Their collaborative approach and willingness to explore multiple design directions have made them a dependable resource for Butterfly.

Adam Meisel

Head of Design at Butterfly Network

Designing for a medical device requires a specific mindset, and Mirumee totally gets it. They understood the hardware constraints and streamlined our user experience, seamlessly integrating AI capabilities to help clinicians work faster and with greater confidence.

Calvin Solomon

Product Manager, Clinical Experience at Butterfly Network

Mirumee's designers have the impressive ability to navigate complex medical workflows while also considering the small but critical details that reduce clicks, minimize friction, and eliminate user confusion. The onboarding time for the designers was virtually nonexistent, as they quickly intuited the challenges our end users face — not only within our specific product, but across the broader healthcare industry. The final designs are intuitive, functional, and visually polished. I would highly recommend Mirumee to any organization seeking a thoughtful, collaborative, and highly capable design partner in the MedTech space.

Bridget Gonyeau

Product Manager at Butterfly Network

The design team from Mirumee has been outstanding to work with. We built a complex medical application with real technical constraints, and they navigated that environment like true partners, designing thoughtfully for both users and developers. They went beyond the ask, helping solidify our design system and bringing our Figma documentation up to a standard we hadn't seen before — well-maintained, edge cases included. I'd recommend them without hesitation.

Patrick Powers

Director, Mobile Engineering at Butterfly Network

04 — What’s Next

The work of democratising medical imaging is an ongoing mission. We’re currently in the lab with the Butterfly team, refining the next generation of features across the entire product suite — from the Global Store to Cloud PACS and the Mobile App. Ready to reveal soon.